腰方肌阻滞与腹横肌平面阻滞用于老年患者腹腔镜结肠癌根治术后镇痛的效果对比

Comparison on Postoperatively Analgesia Efficacy of Quadratus Lumborum Block and Transversus Abdominis Plane Block Used in the Senior Patients Undergoing Laparoscopic Radical Surgery for Colonic Cancer

目的:比较腰方肌阻滞(QLB)与腹横肌平面阻滞(TAPB)用于老年患者腹腔镜结肠癌根治术后镇痛的效果。方法:将2020年8月至2021年12月于我院行腹腔镜结肠癌根治术治疗的82例老年患者随机分为2组,术后分别采用QLB和TAPB法进行术后镇痛。比较2组患者术后2h、8h、12h、24h疼痛程度及深呼吸或咳嗽时的舒适度。疼痛程度采用疼痛数字评估量表(NRS)评价,舒适度采用Bruggrmann舒适量表(BCS)评价。结果:QLB组患者术后2h、8h、12h、24hNRS评分均明显低于TAPB组(P <0.05),而且各观察点BCS评分均明显高于TAPB组(P <0.05)。结论:QLB用于老年患者腹腔镜结肠癌根治术后镇痛效果优于TAPB。

Objective To compare the postoperative analgesia efficacy of quadratus lumborum block(QLB) and transversus abdominis plane block(TAPB) used in the senior patients undergoing laparoscopic radical surgery for colonic cancer.Methods Randomly divided 82 colonic cancer patients undergoing laparoscopic radical surgery in authors’ hsopital(2020-08—2021-12) into QLB group(41 cases,adopted QLB for analgesia) and TAPB group(41 cases,TAPB for analgesia);then,compared postoperative pain intensity of patients at 2,8,12 and 24 h after surgery,as well as their comfort degree when deep respiration or cough:NRS evaluated pain intensity,BCS evaluated comfort degree.Results At 2,8,12 and 24 h after surgery in NRS ratings QLB group was all significantly lower than TAPB group(P<0.05);at every observation points the former was significantly higher than the latter(P<0.05).Conclusion The analgesia efficacy of QLB used in the senior patients underwent laparoscopic radical surgery for colonic cancer is superior to that of TAPB.